As a healthcare IT partner, we are deeply committed to support our clients and the communities they serve, while coping with the evolving COVID-19 challenge.
Over the past few weeks, together with clients all over the globe, we have been working to support hospitals in the fight against the COVID-19 outbreak. From supporting the set-up of remote reporting capabilities to configuring special radiology worklists, dedicated to COVID-19 cases.
By sharing the customer cases we encounter and the configurations we’re setting up, we hope to be of help. Should your organization benefit from one of the below set-ups or configurations (*), or for any additional request, please reach out to your local Agfa HealthCare contact person.
1. COVID-19 Specific Priority Work Lists in Enterprise Imaging
To help the radiology team of a Belgian University Hospital to keep track of the COVID-19 cases among other high importance cases, a dedicated COVID-19 worklist has been created.
From the Agfa HealthCare RIS, a COVID-19 indication is communicated to Enterprise Imaging, resulting in the creation of a COVID priority reading task.
To quickly configure the reading priority, without the need for additional manual intervention by users, an unused order priority was used. In the list area, a special color code is given to the COVID-19 cases to highlight the cases, so they stand out in the task list. Task assignment rules are configured if these specific cases need to be assigned to a specialized group of radiologists for reading. Escalation rules can also be employed to ensure quick response on highlighted cases.
For customers without Agfa RIS, the priorities could be setup in the Order Generation System (EMR, 3rd party RIS, ..).
To set-up COVID-19-specific work lists, please reach out to your local Agfa HealthCare contact person.
(*) Please know that depending on your region and current installation, some use cases may not be applicable to you. Please check with your local Agfa HealthCare contact person.
Click on the above image for an example of the set-up.
(patients listed are demo patients.)
2. Faster Reporting with COVID-19 Drop-down Menus and Text Macros
With suspected COVID-19 cases increasing rapidly, efficiency of radiology reading needs to be maximized.
In collaboration with an Enterprise Imaging customer, a series of COVID-19 specific drop-down menus with text macros have been created, covering f.e. ground-glass opacity, vascular thickening and scoring of affected areas in the lungs.
Apart from a faster reporting, it will also result in more consistent reports, which in a longer term will be beneficial for analytics and statistics.
The screenshots right and below show the report template with text macros and resulting report. Click on the images for a larger view.
To set-up COVID-19-specific drop-down menus and macros, please reach out to your local Agfa HealthCare contact person.
(*) Please know that depending on your region and current installation, some use cases may not be applicable to you. Please check with your local Agfa HealthCare contact person.
Click on the above image for an example of the set-up.
(patients listed are demo patients.)
3. Remote and Home Reporting
To deal with the COVID-19 outbreak, the continuity of the radiology reporting activities is crucial. To guarantee this, care providers are expanding the remote reporting capabilities for their radiology teams.
In Ireland one of our Clinical Application Specialists was approached by a Radiologist who was concerned about being able to work should the need to self-isolate arise.
To deal with the COVID-19 outbreak, the continuity of the radiology reporting activities is crucial. To guarantee this, care providers are expanding the remote reporting capabilities for their radiology teams.
In Ireland one of our Clinical Application Specialists was approached by a Radiologist who was concerned about being able to work should the need to self-isolate arise.
The hospital already had a VPN connection available as well as spare hardware, and within 20 minutes of assembling the spare clinical review workstation and a clinical monitor the radiologist was able to log in, use his own profile from the hospital and report in his own home, including full speech recognition, with images instantly available over a normal broadband connection.
To facilitate the set-up or expansion of your remote reporting capabilities and provide full home-office capabilities:
- Contact your local support team. They will usually organize a virtual meeting (using Microsoft Teams or Webex) to facilitate and guide you through the remote set-up. It usually takes less than 1 hour to set up.
- Please know a VPN connection to the hospital is mandatory.
- For detailed specifications for hardware (workstation, display, graphic card and speech mike), please contact your local support team.
- For more on remote reporting: click here
(*) Please know that depending on your region and current installation, some use cases may not be applicable to you. Please check with your local Agfa HealthCare contact person.
Partner Program North America in collaboration with Barco
Through our partnership with Barco, Agfa HealthCare can offer a complete solution for remote diagnostic reporting, with validated laptop and workstation options depending on your needs.
Click Here – For more information on how to extend the power of the Enterprise Imaging platform. Or contact your Agfa HealthCare contact person.
4. COVID-19 Hanging Protocols
The diagnosis, treatment and follow-up of COVID-19 patients can consists of a series of medical imaging exams from different modalities. Dedicated hanging protocols like the one pictured here allow to get a good overview of the patient imaging.
This example shows the active study on the left screen, with the right screen divided in 4 viewports where each viewport contains 1 comparison study. This can be a CR/DX study, but also CT or other modalities. With a double click on the viewport the study will be full screen.
For help on the configuration of this hanging protocol, please reach out to your local Agfa HealthCare support contact person.
(*) Please know that depending on your region and current installation, some use cases may not be applicable to you. Please check with your local Agfa HealthCare contact person.
5. Supporting Triage of High-Risk Patients
On request of a customer in the Middle East, we are currently integrating an additional Question & Answer survey in the Agfa HealthCare RIS.
This questionnaire will help the receptionist to capture valuable triage information and to evaluate the risk of infection before the creation of the order and image acquisition. The risk information is communicated to the technologist’s work list who can take the necessary precautions and protection.
The screenshot shows the questionnaire in Agfa HealthCare RIS.
Alternatively, the patient remark field in the Agfa HealthCare RIS can also be used to communicate patient related risk information to Enterprise Imaging, to inform both the technologist and radiologist. Please note that in this case, the information is linked to the patient (permanent), not to the specific order.
To set-up COVID-19-specific surveys, please reach out to your local Agfa HealthCare support contact person.
(*) Please know that depending on your region and current installation, some use cases may not be applicable to you. Please check with your local Agfa HealthCare contact person.
6. Real-time collaboration across quarantine-lines
During these challenging times efficient collaboration between care givers is more crucial than ever. To support this, several sites in the United Kingdom have recently enabled and added the XERO Viewer chat & share functionality to their Enterprise Imaging platform.
The functionality allows to securely view, review and share the studies. With the screen sharing feature colleagues can also review and collaborate on a study, in real-time, across quarantine lines.
In XERO Viewer, with the study open, it just takes a click on the “Share” button in the chat window to send the study to a colleague for review.
For more on the XERO Viewer chat & share functionality, please reach out to your local Agfa HealthCare contact person.
(*) Please know that depending on your region and current installation, some use cases may not be applicable to you. Please check with your local Agfa HealthCare contact person.
7. Balance the load – Image sharing across hospital networks and regions
In many countries, the COVID-19 outbreak requires the collaboration and image sharing across hospitals, hospital networks and geographical regions. Some hospitals are centralizing triage of patients and depending on the case severity patients are sent for admission to different hospitals. Others are looking to balance the bed capacity and load with hospitals inside or outside their network.
With this growing need to collaborate across hospitals and geographical regions, timely and convenient sharing and transfer of imaging data is a must.
In the United Kingdom we are supporting customers balancing the COVID-19 load by connecting different sites, using the XERO Exchange technology.
They can view, share DICOM images and reports stored within the Enterprise Imaging for Radiology solutions. Based on hospital request, patient history can be shared as well.
In the Netherlands a nationally deployed COVID-19 portal solution has been introduced. Here we are supporting our customers in making DICOM images easily and efficiently available for other hospitals.
This way, after triage, all the patient’s imaging information is shared securely with the receiving care team, so they can prepare to treat the patient quickly upon arrival.
For more on the XERO Image Exchange functionality, please reach out to your local Agfa HealthCare contact person.
(*) Please know that depending on your region and current installation, some use cases may not be applicable to you. Please check with your local Agfa HealthCare contact person.
8. Adding COVID-19 specific terminology to the speech recognition lexicon
With new diseases come new terminology. Since they are not standard in the Radiology lexicon, we received feedback from some radiologists their speech recognition software for fast reporting was struggling with the recognition of new terms like Corona or COVID-19. This was slowing down the reporting turnaround, since repeated manual correction of the not-recognized terms was needed.
Customers in Belgium and Luxembourg, using Enterprise Imaging integrated with the Nuance Speech Magic recognition software, have quickly re-trained their Nuance Speech Recognition systems and added those new terms to the speech lexicon.
Once the new terms added, the speech accuracy for dictated words like COVID-19 has improved significantly and supports fast and accurate reporting in times that patient need fast diagnosis most for timely treatment.
- Use the Context Adaptation Tool:
When the radiologist corrects the word that is not recognized, the new term will appear in the Nuance Context Adaptation Tool. An authorized user (secretary, key-users) can now add this new word the radiologist lexicon. See screenshot below left. Click on the image for a larger view. - Use the ContextPro Tool
Alternatively, use the ContextPro tool to add new terms in a pro-active way to the Radiologist lexicon. Once added, the recognition rate of the new terms will improve when used by the radiologist. See screenshot below right. Click on the image for a larger view. Contact your local Agfa HealthCare support for more information.
(*) Please know that depending on your region and current installation, some use cases may not be applicable to you. Please check with your local Agfa HealthCare contact person.
